Management of massive lower limb plexiform neurofibromatosis--when to intervene?

abstract：INTRODUCTION:The aim of this study was to determine the efficacy and complications of postoperative endoscopic retrograde cholangiopancreatography (ERCP) in confirming and treating choledocholithiasis found at intraoperative cholangiography during laparoscopic cholecystectomy. METHODS:Patients who had undergone ERCP f...

journal_title：Annals of the Royal College of Surgeons of England

authors： Lynn AP,Chong G,Thomson A

更新日期：2014-01-01 00:00:00

abstract：:A new method of audit delivery is described, based on the first large scale comparative audit meeting held at The Royal College of Surgeons of England. The concept of comparative audit is introduced and the methods of undertaking such an exercise are described. This comparative audit processed the clinical activity of...

journal_title：Annals of the Royal College of Surgeons of England

authors： Emberton M,Rivett R,Ellis BW

更新日期：1991-11-01 00:00:00

abstract：:An Orthopaedic Surgeon's Assistant has been part of the orthopaedic surgical team at Hastings since 1983. Having a suitably trained person in post ensures continuity and stability and enhances the treatment of patients, the performance of the department and the training offered to Higher Surgical Trainees. Discussion ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Stenhouse N,Gallannaugh SC

更新日期：1996-07-01 00:00:00

abstract：:A questionnaire survey of general surgeons was undertaken to estimate the incidence of abdominal adhesions as a clinical problem and to establish current attitudes to the treatment of adhesional bowel obstruction and the prevention of adhesion formation. Replies were received from 362 of 416 surgeons (response rate 87...

journal_title：Annals of the Royal College of Surgeons of England

authors： Scott-Coombes DM,Vipond MN,Thompson JN

更新日期：1993-03-01 00:00:00

abstract：:A prospective study of all weekday emergency surgery performed in a district general hospital over an 18-month period was undertaken to assess the impact of a fully staffed, daytime operating theatre for emergency surgery on night-time operating and on consultant supervision of trainees. In the 12 months following the...

journal_title：Annals of the Royal College of Surgeons of England

authors： Barlow AP,Wilkinson DA,Wordsworth M,Eyre-Brook IA

更新日期：1993-11-01 00:00:00

abstract：INTRODUCTION:Polypectomy at colonoscopy may be difficult or dangerous. In such instances colonic resection may be indicated. Novel combined laparoscopic-endoscopic procedures have the potential to allow safe extensive extramucosal resection, thus avoiding resection. Laparoscopic colon mobilisation provides a more favou...

journal_title：Annals of the Royal College of Surgeons of England

authors： Wood JJ,Lord AC,Wheeler JM,Borley NR

更新日期：2011-04-01 00:00:00

abstract：:Introduction Transurethral resection of the prostate (TURP) is considered the gold standard surgical treatment for lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia. The number of TURPs performed has declined significantly over the last three decades owing to pharmaceutical therapy. TURP da...

journal_title：Annals of the Royal College of Surgeons of England

authors： Young MJ,Elmussareh M,Morrison T,Wilson JR

更新日期：2018-04-01 00:00:00

abstract：OBJECTIVES:Transurethral resection of the prostate (TURP) is considered by many to be the 'gold standard' treatment for benign prostatic enlargement. However, with the relatively recent introduction of pharmacological and other surgical treatment modalities, the performance of TURP appears to be in decline. METHODS:A ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Wilson JR,Urwin GH,Stower MJ

更新日期：2004-11-01 00:00:00

abstract：:John Hunter's many contributions to surgery include the development of the scientific approach and possibly the first use of evidence-based medicine. This oration, concentrates on two other areas ? first, some of his contributions to orthopaedics and secondly past, present and future surgical training and competence. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Galasko CS

更新日期：2005-05-01 00:00:00

abstract：INTRODUCTION:Intraoperative neural monitoring of the recurrent laryngeal nerve has been widely used to avoid nerve injury during thyroidectomy. We discuss the results of the change in surgical strategy after unilateral signal loss surgeries using intermittent intraoperative neural monitoring in a high-volume referral c...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gür EO,Haciyanli M,Karaisli S,Haciyanli S,Kamer E,Acar T,Kumkumoglu Y

更新日期：2019-11-01 00:00:00

abstract：INTRODUCTION:Nosocomial MRSA infection has become an important healthcare issue. We present 6 cases of MRSA enteritis, acquired following bowel surgery and ileostomy formation. PATIENTS AND METHODS:The data set was obtained from the experience of one consultant surgeon over 6 years in one medical centre. The clinical ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Haq AI,Cook LJ

更新日期：2007-04-01 00:00:00

abstract：:The initial screening by senior surgical staff of surgical patients referred for emergency hospital admission should result in improved patient management. The present study was undertaken to determine the effects of this policy. The primary outcome measure was hospital admission rates. The number of operations, diagn...

journal_title：Annals of the Royal College of Surgeons of England

authors： Gaskell DJ,Lewis PA,Crosby DL,Roberts CJ,Fenn N,Roberts SM

更新日期：1995-09-01 00:00:00

abstract：:This review aims to change clinical practice and alert clinicians to consider that unrecognised coeliac disease may present acutely with abdominal pain. Targeting patients who have non-specific abdominal pain or coeliac-associated symptoms/diseases may improve diagnosis. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Sanders DS,Azmy IA,Hurlstone DP

更新日期：2006-03-01 00:00:00

abstract：INTRODUCTION:The Ganz trochanteric flip approach aims to avoid the potential risk of avascular necrosis in hip conserving surgery and may reduce the risk of femoral neck fractures, neck thinning and femoral head implant migration in hip resurfacing. Our initial audit revealed the complications of non-union and trochant...

journal_title：Annals of the Royal College of Surgeons of England

authors： Guyver PM,Cattell A,Reddy RP,Edwards C,Williams D,Dixon SM,Norton MR,Fern ED

更新日期：2010-10-01 00:00:00

abstract：:In a prospective study of 100 patients presenting with acute right hypochondrial pain and diagnosed clinically by a qualified surgeon as having acute cholecystitis, we have shown that the diagnostic error can be considerable. Twenty-five of these patients were found to have a different diagnosis on subsequent investig...

journal_title：Annals of the Royal College of Surgeons of England

authors： Schofield PF,Hulton NR,Baildam AD

更新日期：1986-01-01 00:00:00

abstract：:The 'beehive' sign on the bladder as seen in cystograms is valuable in diagnosing the presence of colovesical fistula and is invariably associated with the vesical end of the fistulous tract. ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Kaisary AV,Grant RW

更新日期：1981-05-01 00:00:00

abstract：INTRODUCTION:Venous thromboembolism (VTE) prophylaxis has become a major issue for surgeons both in the UK and worldwide. Several different sources of guidance on VTE prophylaxis are available but these differ in design and detail. METHODS:Two similar audits were performed, one year apart, on the VTE prophylaxis presc...

journal_title：Annals of the Royal College of Surgeons of England

authors： Veeramootoo D,Harrower L,Saunders R,Robinson D,Campbell WB

更新日期：2011-07-01 00:00:00

abstract：:Introduction The National Institute for Health and Care Excellence guidance Improving Supportive and Palliative Care for Adults with Cancer (2004) and the Cancer Reform Strategy (2007) support the premise that assessment and discussion of patients' needs for physical, social, psychological, and spiritual wellbeing sho...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rogers SN,Thomson F,Lowe D

更新日期：2018-03-01 00:00:00

abstract：INTRODUCTION:Pelvic acetabular injuries are associated with significant blood loss. This is compounded by multiple surgical interventions including definitive fracture fixation, which put patients at further risk of postoperative transfusion. We use intraoperative cell salvage routinely as a blood conservation strategy...

journal_title：Annals of the Royal College of Surgeons of England

authors： Odak S,Raza A,Shah N,Clayson A

更新日期：2013-07-01 00:00:00

abstract：:Groin vessels are most commonly used to obtain vascular access for angiography because of their size and accessibility. Haemostasis at the puncture site can be achieved with manual compression alone or by using a vascular closure device. We highlight the case of a 68-year-old woman who developed acute claudication in ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Hussain T,Al-Hamali S

更新日期：2011-09-01 00:00:00

abstract：:Contact with rat saliva or faeces can lead to infection with Streptobacillus moniliformis and the condition known as 'rat bite fever'. We report a case of septic arthritis of the hip due to this organism following a bite on the finger of a 14-year-old boy from a rat for sale in a pet shop. The case was successfully tr...

journal_title：Annals of the Royal College of Surgeons of England

authors： Downing ND,Dewnany GD,Radford PJ

更新日期：2001-07-01 00:00:00

abstract：:Thyroidectomy is associated with certain known complications, including recurrent laryngeal or superior laryngeal nerve injury and hypocalcaemia due to hypoparathyroidism. Other much rarer complications include oesophageal injury with oesophageal fistula formation. In this report, we describe the clinical course of a ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Rabie ME

更新日期：2014-10-01 00:00:00

abstract：:While some degree of specialization is essential in surgery there remains a place for the general surgeon. The tendency to regard surgical intensive care as a specialty should be resisted. Similarly the surgery of trauma should remain in the field of the general surgeon in full co-operation with the orthopaedic surgeo...

journal_title：Annals of the Royal College of Surgeons of England

authors： Allgöwer M

更新日期：1975-09-01 00:00:00

abstract：:Annular small bowel ulceration is rare. We report three patients who presented with signs of chronic gastrointestinal blood loss. In two patients the main presenting symptom was intermittent abdominal pain while the third patient subsequently developed abdominal pain during the course of investigation. Preoperative lo...

journal_title：Annals of the Royal College of Surgeons of England

authors： Ballantyne KC,Morris DL,Hawkey CJ,Hardcastle JD

更新日期：1986-05-01 00:00:00

abstract：OBJECTIVE:To assess the surgical workload on a renal unit, with particular reference to non-transplant-related surgery and to assess the workload in relation to surgical staffing levels. DESIGN:Prospective audit of all surgical procedures carried out on patients in acute or chronic renal failure, and on transplanted p...

journal_title：Annals of the Royal College of Surgeons of England

authors： Raftery AT

更新日期：1993-05-01 00:00:00

abstract：OBJECTIVES:To provide guidance about the risks which should be disclosed to patients and documented during the consent process. METHODS:The Delphi Consensus Technique was used to decide what constitutes mandatory risk disclosure for three index procedures. Documentation of risk on consent forms was audited and compare...

journal_title：Annals of the Royal College of Surgeons of England

authors： Edwards TJ,Finlay I,Wilkins DC,Lambert AW

更新日期：2004-11-01 00:00:00

abstract：INTRODUCTION:Advanced (pT2/T3) incidental gallbladder cancer is often deemed unresectable after restaging. This study assesses the impact of the primary operation, tumour characteristics and timing of management on re-resection. METHODS:The records of 60 consecutive referrals for incidental gallbladder cancer in a sin...

journal_title：Annals of the Royal College of Surgeons of England

authors： Tsirlis T,Ausania F,White SA,French JJ,Jaques BC,Charnley RM,Manas DM

更新日期：2015-03-01 00:00:00

abstract：:Neurofibromas of the common bile duct are extremely rare. The lack of specific clinical or radiological features makes preoperative diagnosis in the absence of histology difficult. We report the case of a female patient who presented with obstructive jaundice and evidence of a common bile duct stricture on imaging. Sh...

journal_title：Annals of the Royal College of Surgeons of England

authors： De Rosa A,Gomez D,Zaitoun AM,Cameron IC

更新日期：2013-03-01 00:00:00

abstract：:Endoscopic papillotomy without cholecystectomy has been performed in 20 elderly patients with complications of bile duct stones. Good biliary drainage was achieved in 17, and there were no complications. One cholecystectomy was subsequently required. Later deaths have been due to unrelated causes. It is concluded that...

journal_title：Annals of the Royal College of Surgeons of England

authors： Leow CK,Thompson MH

更新日期：1986-11-01 00:00:00

abstract：:INTRODUCTION Laparoscopic surgery has become the standard for colorectal cancer resection in the UK but it can be technically challenging in patients who are obese. Patients whose body fat is mainly inside the abdominal cavity are more challenging than those whose fat is mainly outside the abdominal cavity. Abdominal ...

journal_title：Annals of the Royal College of Surgeons of England

authors： Scott SI,Farid S,Mann C,Jones R,Kang P,Evans J

更新日期：2017-01-01 00:00:00